Question

Case 5.15 Query Analysis (20 points) Review the following Queries and determine if they are acceptable...

Case 5.15 Query Analysis (20 points)

Review the following Queries and determine if they are acceptable physician queries. Give the reason for your decision for each case.

3.  Patient name: Tim Smith MRN: 1074567 Dates of service: 09/27/2016 - 09/30/2016

Dr. John Day

Please add pneumonia as indicated in the CXR.

Coder: Doe

4.   Patient name: Margaret Brown MRN: 10897432 Dates of service: 09/27/2016 - 09/30/2016

Dr. Elizabeth Moore

If you will document the BBB in the progress notes we can increase reimbursement.

Coder: Peter

Please provide accurate answers and detailed rationale for each answer. Thank you ( :

0 0
Add a comment Improve this question Transcribed image text
Answer #1

In the case of Tim Smith, the query was to add pneumonia in the diagnosis, and they were expressing the concern that it was explained in the x ray. So, if there is an indication of pneumonia can be seen in the chest x ray then it has to be added in the diagnosis and it has to be managed in that direction. So, a positive response can be given that query.

In the case of Margaret Brow, they are asking to add BBB in the progress note to increase the reimbursement, it can be considered completely unethical. If the patient doesn’t have a diagnosis of BBB how it can be possible to add the same. If there is a clear evidence in the investigation and manifestation of the patient having BBB then it can be added, not for any reimbursement purpose.

Add a comment
Know the answer?
Add Answer to:
Case 5.15 Query Analysis (20 points) Review the following Queries and determine if they are acceptable...
Your Answer:

Post as a guest

Your Name:

What's your source?

Earn Coins

Coins can be redeemed for fabulous gifts.

Not the answer you're looking for? Ask your own homework help question. Our experts will answer your question WITHIN MINUTES for Free.
Similar Homework Help Questions
  • Case 5.15 Query Analysis (20 points) Review the following Queries and determine if they are acceptable...

    Case 5.15 Query Analysis (20 points) Review the following Queries and determine if they are acceptable physician queries. Give the reason for your decision for each case. 1. Dr. Hightower Mrs. Smith was admitted on 8/25, and two days later you mention in a progress note a stage three pressure ulcer of her heel that you debrided at the bedside. Can you clarify was the stage three heel pressure ulcer present on admission?_____Yes_____NO C. Coder 9/2 Ext. 2112 2. Patient...

  • Case 5.15 Query Analysis (20 points) Review the following Queries and determine if they are acceptable...

    Case 5.15 Query Analysis (20 points) Review the following Queries and determine if they are acceptable physician queries. Give the reason for your decision for each case. 1. Dr. Hightower Mrs. Smith was admitted on 8/25, and two days later you mention in a progress note a stage three pressure ulcer of her heel that you debrided at the bedside. Can you clarify was the stage three heel pressure ulcer present on admission?_____Yes_____No C. Coder 9/2 Ext. 2112 2. Patient...

  • Case 5-8 Physician Query Policy You have suspected there are problems in the physician query process...

    Case 5-8 Physician Query Policy You have suspected there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find the problems yourself before the Office of the Inspector General (OIG) finds them. Your task today is to evaluate the physician query process at your facility. Figures 5-1 and 5-2. Evaluate Figure 5-1 on all aspects including the following:...

  • CLINICAL CLASSIFICATION SYSTEMS AND REIMBURSEMENT METHODS CASE 2-12 . Physician Query Polity You have suspected there...

    CLINICAL CLASSIFICATION SYSTEMS AND REIMBURSEMENT METHODS CASE 2-12 . Physician Query Polity You have suspected there are problems in the physician query process for a while now, and you have planned to review the policy and query form to look for any compliance issues. You would rather find theproblem s yourself before the Office of the Inspect r General (OIG) İ ds iheim Yor task toda, is to evaluate the physician query process at your facility 1. Review Figures 2-1...

  • Write MySQL query statements for the questions below including the output that proves the accuracy of...

    Write MySQL query statements for the questions below including the output that proves the accuracy of your solution. Your answers should be stored in a text file that captures your interaction with MySQL. 1. Find the movieID, title, year and DVDPrice of all movies where the DVD-Price is equal to the discountPrice. 2. Find the actorID, lastName, firstName, middleName, and suffix of all actors whose middleName is not NULL. 3. Suppose you remember a movie quote as “Play it again,...

ADVERTISEMENT
Free Homework Help App
Download From Google Play
Scan Your Homework
to Get Instant Free Answers
Need Online Homework Help?
Ask a Question
Get Answers For Free
Most questions answered within 3 hours.
ADVERTISEMENT
ADVERTISEMENT